GORDON LEE BARKLEY III Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

First Name

GORDON

Middle

LEE

Last Name

BARKLEY

Suffix

III

Business Name

GORDON LEE BARKLEY III

Original Issue Date

06/19/2017

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024